Prognostic factors of restrictive myopathy in thyroid eye disease

Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyr...

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Autores principales: Jae Hwan Choi, Hoon Noh, Yoon-Duck Kim, Kyung In Woo
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/a4368f63ac6b4d7a8daf9c326cf9b5cb
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spelling oai:doaj.org-article:a4368f63ac6b4d7a8daf9c326cf9b5cb2021-12-02T16:10:24ZPrognostic factors of restrictive myopathy in thyroid eye disease10.1038/s41598-021-93275-92045-2322https://doaj.org/article/a4368f63ac6b4d7a8daf9c326cf9b5cb2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93275-9https://doaj.org/toc/2045-2322Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyroid autoantibody status, orbital computed tomography (CT) scan at initial presentation, and treatment regimens were assessed. The movements of the most severely affected extraocular muscles were categorized into five grades. The patients were divided into the improved and the not-improved group based on the improvement in the limitation of the extraocular muscle excursion (LOM) throughout the follow-up, and the groups were compared using clinical factors. The mean LOM significantly improved from 2.3 ± 1.1 to 1.7 ± 1.2 after 1 year of follow-up. The excursion of the most restricted muscle improved in 32 patients but not in 33 patients during the follow-up. The initial concentration of the thyroid-stimulating antibody (TSAb) was significantly lower in the improved (229.3 ± 114.1) than in the not-improved group (345.0 ± 178.6) (P = 0.02) Age, sex, smoking status, CAS, thyroid status, and muscle thickness on the CT scan did not significantly differ in the groups. This study showed that the initial concentration of TSAb is a factor affecting the recovery of restrictive myopathy.Jae Hwan ChoiHoon NohYoon-Duck KimKyung In WooNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jae Hwan Choi
Hoon Noh
Yoon-Duck Kim
Kyung In Woo
Prognostic factors of restrictive myopathy in thyroid eye disease
description Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyroid autoantibody status, orbital computed tomography (CT) scan at initial presentation, and treatment regimens were assessed. The movements of the most severely affected extraocular muscles were categorized into five grades. The patients were divided into the improved and the not-improved group based on the improvement in the limitation of the extraocular muscle excursion (LOM) throughout the follow-up, and the groups were compared using clinical factors. The mean LOM significantly improved from 2.3 ± 1.1 to 1.7 ± 1.2 after 1 year of follow-up. The excursion of the most restricted muscle improved in 32 patients but not in 33 patients during the follow-up. The initial concentration of the thyroid-stimulating antibody (TSAb) was significantly lower in the improved (229.3 ± 114.1) than in the not-improved group (345.0 ± 178.6) (P = 0.02) Age, sex, smoking status, CAS, thyroid status, and muscle thickness on the CT scan did not significantly differ in the groups. This study showed that the initial concentration of TSAb is a factor affecting the recovery of restrictive myopathy.
format article
author Jae Hwan Choi
Hoon Noh
Yoon-Duck Kim
Kyung In Woo
author_facet Jae Hwan Choi
Hoon Noh
Yoon-Duck Kim
Kyung In Woo
author_sort Jae Hwan Choi
title Prognostic factors of restrictive myopathy in thyroid eye disease
title_short Prognostic factors of restrictive myopathy in thyroid eye disease
title_full Prognostic factors of restrictive myopathy in thyroid eye disease
title_fullStr Prognostic factors of restrictive myopathy in thyroid eye disease
title_full_unstemmed Prognostic factors of restrictive myopathy in thyroid eye disease
title_sort prognostic factors of restrictive myopathy in thyroid eye disease
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a4368f63ac6b4d7a8daf9c326cf9b5cb
work_keys_str_mv AT jaehwanchoi prognosticfactorsofrestrictivemyopathyinthyroideyedisease
AT hoonnoh prognosticfactorsofrestrictivemyopathyinthyroideyedisease
AT yoonduckkim prognosticfactorsofrestrictivemyopathyinthyroideyedisease
AT kyunginwoo prognosticfactorsofrestrictivemyopathyinthyroideyedisease
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